Part 1: Number of Treatment-emergent Adverse Events (TEAEs)
| Group | Value (Events) |
|---|---|
| Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg | 56 |
| Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mg | 71 |
| Part 1: Placebo + Semaglutide 2.4 mg | 37 |
Trial · Interventional
CompletedPhase 2Results postedRegistry dataUnited States
1 trial · 1 completed · 1 with posted results
A Research Study to Investigate How Well NNC0165-1875 in Combination With Semaglutide Works in People With Obesity
NCT0496993915 Jul 2021 to 30 Jan 2023
Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.
The study is looking at a new medicine to help people lose weight. In this study participants will either get semaglutide and NNC0165-1875 or semaglutide and a "dummy" medicine (placebo). Which treatment participants get is decided by chance. Participants will get 2 injections per week, on the same day. Participants will have to take the study medicine by use of a pre-filled pen. A pen is a medical tool with a needle used for injections under the skin. The study doctor or staff will show participants how. The study will last for about 26 weeks. Participants will have 17 visits at the clinic with the study doctor. At 4 of the clinic visits participants cannot eat and drink (water is allowed until 2 hours prior to the visit) for 8 hours before the visit.Women: Women cannot take part if pregnant, breast-feeding or plan to become pregnant during the study period. Women who are able to become pregnant can participate if they agree to use contraception during the study.
Experimental
Semaglutide 2.4 mg and NNC0165-1875 2.0 mg
Participants will receive two doses of NNC0165-1875 as an add on to semaglutide s.c. 2.4 mg
Placebo comparator
Semaglutide 2.4 mg and placebo 2.0 mg(NNC0165-1875 2.0 mg)
Participants will receive placebo as an add on to semaglutide 2.4 mg.
Experimental
Semaglutide 2.4 mg and NNC0165-1875 1.0 mg
Participants will receive two doses of NNC0165-1875 as an add on to semaglutide s.c. 2.4 mg
Placebo comparator
Semaglutide 2.4 mg and placebo 1.0 mg(NNC0165-1875 1.0 mg)
Participants will receive placebo as an add on to semaglutide 2.4 mg.
Outcomes the sponsor listed as primary.
Part 1: Number of Treatment-emergent Adverse Events (TEAEs)
Time frame · Part 1: From time of dosing (day 1) to follow-up (week 24)
A TEAE is defined as an event that has onset after administration of trial product and no later than the follow-up visit or is present before trial product administration and increases in after the first dose of trial product and no later than the follow-up visit.
Part 2b: Percentage Change in Body Weight
Time frame · Part 2: Randomisation (week 32), end of treatment (week 48)
Percentage change in body weight (%) from week 32 to week 48 is presented. For descriptive analysis and statistical analysis the endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Change in Body Weight (kg)
Time frame · Part 2b: Randomisation (week 32), end of treatment (week 48)
Change in body weight (kg) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Change in Glycosylated Haemoglobin (HbA1c)
Time frame · Part 2b: Randomisation (week 32), end of treatment (week 48)
Change in HbA1c from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site. Percentage point is calculated by subtraction of baseline HbA1c from HbA1c at end of treatment.
Part 2b: Change in Fasting Plasma Glucose (FPG)
Time frame · Part 2b: Randomisation (week 32), end of treatment (week 48)
Change in FPG (measured in millimoles per liter \[mmol/l\]) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Change in Fasting Insulin
Time frame · Part 2b: Randomisation (week 32), end of treatment (week 48)
Change in fasting insulin (measured in picomoles per liter \[pmol/l\]) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Change in Waist Circumference
Time frame · Part 2b: Randomisation (week 32), end of treatment (week 48)
Change in waist circumference (measured in centimeter \[cm\]) from week 32 to week 48 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Relative Change in Total Cholesterol (Ratio to Baseline)
Time frame · Part 2b: Randomisation (week 32), end of treatment (week 48)
Relative change in total cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Relative Change in High Density Lipoprotein (HDL) Cholesterol (Ratio to Baseline)
Time frame · Part 2b: Randomisation (week 32), end of treatment (week 48)
Relative change in HDL cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Relative Change in Low Density Lipoprotein (LDL) Cholesterol (Ratio to Baseline)
Time frame · Part 2b: Randomisation (week 32), end of treatment (week 48)
Relative change in LDL cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Relative Change in Very Low Density Lipoprotein (VLDL) Cholesterol (Ratio to Baseline)
Time frame · Part 2b: Randomisation (week 32), end of treatment (week 48)
Relative change in VLDL cholesterol (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Relative Change in Triglycerides (TG) (Ratio to Baseline)
Time frame · Part 2b: Randomisation (week 32), end of treatment (week 48)
Relative change in triglycerides (measured in mmol/l) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Relative Change in Free Fatty Acids (Ratio to Baseline)
Time frame · Part 2b: Randomisation (week 32), end of treatment (week 48)
Relative change in free fatty acids (measured in mmol/L) from week 32 to week 48 is presented as ratio to baseline. here baseline = Randomisation (week 32). The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Number of Treatment -Emergent Adverse Events (TEAEs)
Time frame · From randomisation (week 32) to end of the trial (week 56)
An AE is any untoward medical occurrence in a clinical trial participant that is temporally associated with the use of an IMP, whether or not considered related to the IMP. All AEs reported here are TEAEs. A TEAE is defined as an event that has onset after administration of trial product and no later than the follow-up visits or is present before trial product administration and increases in after the first dose of trial product and no later than the follow-up visit. The TEAEs occurred from week 32 to week 56 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Part 2b: Number of Treatment-emergent Serious Adverse Events (SAEs)
Time frame · From randomisation (week 32) to end of the trial (week 56)
A serious adverse event (SAE) is defined as any untoward medical occurrence that at any dose results in death, or is life-threatening, or requires inpatient hospitalization or causes prolongation of existing hospitalization results in persistent or significant disability/incapacity, or may have caused a congenital anomaly/birth defect, or requires intervention to prevent permanent impairment or damage. The SAEs occurred from week 32 to week 56 is presented. The endpoint was evaluated based on the data from in-trial period. In-trial period was defined as the uninterrupted time interval from date of randomisation to date of last contact with trial site.
Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.
| Group | Value (Events) |
|---|---|
| Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg | 56 |
| Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mg | 71 |
| Part 1: Placebo + Semaglutide 2.4 mg | 37 |
| Group | Value (Percentage change in body weight) | Spread |
|---|---|---|
| Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg | -5.55 | 3.97 |
| Part 2b: Placebo + Semaglutide 2.4 mg | -3.06 | 5.46 |
| Group | Value (kilograms (kg)) | Spread |
|---|---|---|
| Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg | -4.54 | 3.22 |
| Part 2b: Placebo + Semaglutide 2.4 mg | -2.23 | 5.16 |
| Group | Value (Percentage point of HbA1c) | Spread |
|---|---|---|
| Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg | -0.17 | 0.17 |
| Part 2b: Placebo + Semaglutide 2.4 mg | -0.17 | 0.14 |
| Group | Value (mmol/l) | Spread |
|---|---|---|
| Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg | 0.08 | 0.36 |
| Part 2b: Placebo + Semaglutide 2.4 mg | -0.02 | 0.42 |
| Group | Value (pmol/l) | Spread |
|---|---|---|
| Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg | -14.10 | 39.31 |
| Part 2b: Placebo + Semaglutide 2.4 mg | -8.10 | 47.22 |
| Group | Value (cm) | Spread |
|---|---|---|
| Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg | -4.80 | 6.92 |
| Part 2b: Placebo + Semaglutide 2.4 mg | -2.69 | 5.73 |
| Group | Value (Ratio of total cholesterol) | Spread |
|---|---|---|
| Part 2b: NNC0165-1875 1.0 mg + Semaglutide 2.4 mg | 1.00 | 0.11 |
| Part 2b: Placebo + Semaglutide 2.4 mg | 1.07 | 0.17 |
| Group | Deaths | Serious events | Other events |
|---|---|---|---|
| Part 1: NNC0165-1875 1.0 mg + Semaglutide 2.4 mgParticipants received once-weekly s.c injection of NNC0165-1875 in a dose escalation manner (week 0-2: 0.05 mg, week 2-4: 0.1 mg, week 4-8: 0.25 mg, week 8-12: 0.5 mg, week 12 -16: 1.0 mg) along with once-weekly s.c injection of semaglutide in a dose escalation manner (week 0-2: 0.25 mg, week 2-4: 0.5 mg, week 4-8: 1.0 mg, week 8-12: 1.7 mg, week 12 -16: 2.4 mg). | 0 / 8 | 0 / 8 | 8 / 8 |
| Part 1: NNC0165-1875 2.0 mg + Semaglutide 2.4 mgParticipants received once-weekly s.c injection of NNC0165-1875 in a dose escalation manner (week 0-2: 0.1 mg, week 2-4: 0.25 mg, week 4-8: 0.5 mg, week 8-12: 1.0 mg, week 12 -16: 2.0 mg) along with once-weekly s.c injection of semaglutide in a dose escalation manner (week 0-2: 0.25 mg, week 2-4: 0.5 mg, week 4-8: 1.0 mg, week 8-12: 1.7 mg, week 12 -16: 2.4 mg). | 0 / 8 | 1 / 8 | 8 / 8 |
| Part 1: Placebo + Semaglutide 2.4 mgParticipants received once-weekly s.c injection of NNC0165-1875 matching placebo along with once-weekly s.c injection of semaglutide in a dose escalation manner (week 0-2: 0.25 mg, week 2-4: 0.5 mg, week 4-8: 1.0 mg, week 8-12: 1.7 mg, week 12 -16: 2.4 mg). | 0 / 8 | 0 / 8 | 8 / 8 |
| Part 2a (Run-in Period): Semaglutide 2.4 mgParticipants received once-weekly s.c injection of semaglutide in a dose escalation manner (week 0-2: 0.25 mg, week 2-4: 0.5 mg, week 4-6: 1.0 mg, week 6-8: 1.7 mg, week 8 -32: 2.4 mg). At week 32, participants who reached the target dose of semaglutide s.c. 2.4 mg and fulfilled the randomisation criteria entered Part 2b and randomised to receive either once-weekly NNC0165-1875 1.0 mg/ 2.0 mg or placebo along with once-weekly semaglutide 2.4 mg. | 0 / 96 | 2 / 96 | 69 / 96 |
| Part 2b : NNC0165-1875 1.0 mg + Semaglutide 2.4 mgParticipants received once-weekly s.c injection of NNC0165-1875 in a dose escalation manner (week 32-34: 0.05 mg, week 34-36: 0.1 mg, week 36-38: 0.25 mg, week 38-40: 0.5 mg, week 40 -48: 1.0 mg) along with once-weekly s.c injection of semaglutide in a dose escalation manner (week 32-34: 0.25 mg, week 34-36: 0.5 mg, week 36-38: 1.0 mg, week 38-40: 1.7 mg, week 40-48: 2.4 mg). | 0 / 47 | 2 / 47 | 36 / 47 |
| Part 2b : NNC0165-1875 2.0 mg + Semaglutide 2.4 mgParticipants received once-weekly s.c injection of NNC0165-1875 in a dose escalation manner (week 32-34: 0.05 mg, week 34-36: 0.1 mg, week 36-38: 0.25 mg, week 38-40: 0.5 mg, week 40 -42: 1.0 mg, week 42-48: 2.0 mg,) along with once-weekly s.c injection of semaglutide in a dose escalation manner (week 32-34: 0.25 mg, week 34-36: 0.5 mg, week 36-38: 1.0 mg, week 38-40: 1.7 mg, week 40-48: 2.4 mg). | 0 / 8 | 0 / 8 | 7 / 8 |
| Part 2b: Placebo + Semaglutide 2.4 mgParticipants received once-weekly s.c injection of NNC0165-1875 matching placebo along with once-weekly s.c injection of semaglutide in a dose escalation manner (week 32-34: 0.25 mg, week 34-36: 0.5 mg, week 36-38: 1.0 mg, week 38-40: 1.7 mg, week 40-48: 2.4 mg). | 0 / 28 | 0 / 28 | 16 / 28 |
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